| NPI | 1245080530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA COAXUM Authorized Official 770-892-1420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |